Peterson, Black
Peterson, Black is an individual health care provider with primary practice located at 1304 Sunset Blvd # 203 , West Columbia SC 29169-5914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Peterson, Black can be contacted via phone (888) 851-3677.Contact Information
Primary practice address
1304 Sunset Blvd # 203
West Columbia SC 29169-5914
Phone: (888) 851-3677
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 4700 | South Carolina |
Profile Details
NPI number | 1447833173 |
---|---|
LBN Legal business name | Peterson, Black |
Credentials | CNIM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 30th, 2021 |
Last updated | Apr 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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